<div class="panel">
    <form action="{:AddonU('Recharge/item_edit_save')}" method="post">
        <ul>
            <li>
                <label>VankTransactionSN：</label>
                <input type="text" name="bankTransactionSN"  />
            </li>
            <li>
                <label>Vank：</label>
                <input type="text" name="bank"  />
            </li>
            <li>
                <label>Person Name：</label>
                <input type="text" name="personalName"  />
            </li>
            <li style="display:none;">
                <label>备注：</label>
                <input type="text" name="remark" placeholder="请输入备注" />
            </li>        
            <li>
                <label>&nbsp;</label>
                <input type="submit" value="保存" /><input type="reset" value="重置" /></li>
        </ul>
        <input type='hidden' value='{$show}' name='show'/>
    </form>
</div>